| NPI | 1194136028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD C TALAMAYAN Coordinator 732-300-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NJ 1864833) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-09-29 |